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  4. The Nutritional Status and the Clinical Outcomes of Patients With a Spinal Cord Injury Using Nutritional Screening Tools

The Nutritional Status and the Clinical Outcomes of Patients With a Spinal Cord Injury Using Nutritional Screening Tools

Annals of Rehabilitation Medicine, 2018 · DOI: https://doi.org/10.5535/arm.2018.42.4.591 · Published: July 1, 2018

Spinal Cord InjuryNutrition & DieteticsRehabilitation

Simple Explanation

This study aimed to assess the nutritional status of Korean patients with spinal cord injury (SCI) using specific screening tools. It sought to identify predictors of undernutrition and its impact on clinical outcomes. The study used MUST and SNST tools to evaluate nutritional status, comparing a low-risk group with an at-risk group to determine the effects of undernutrition on functional outcomes. The findings revealed that approximately 50% of SCI patients were at risk of undernutrition, which can negatively affect functional recovery.

Study Duration
June 2015 and February 2017
Participants
130 patients with spinal cord injury
Evidence Level
Not specified

Key Findings

  • 1
    Approximately 50% of SCI patients were identified as being at risk of undernutrition based on MUST and SNST scores.
  • 2
    Undernutrition was found to have a significant impact on functional outcomes in SCI patients.
  • 3
    Lower levels of creatinine and albumin concentrations were observed in the at-risk group, indicating potential nutritional deficiencies.

Research Summary

This study assessed the nutritional status of Korean SCI patients using MUST and SNST, finding that approximately 50% were at risk of undernutrition. The research indicated a correlation between undernutrition and impaired functional recovery, highlighting the importance of early nutritional assessment and support. The study suggests the need for developing and validating nutritional screening tools tailored to the specific characteristics of Korean SCI patients for more accurate assessment.

Practical Implications

Early Nutritional Assessment

Implement early and regular nutritional screening for SCI patients upon hospital admission to identify those at risk of undernutrition.

Tailored Nutritional Support

Develop and provide customized nutritional support plans based on the specific needs and characteristics of SCI patients, especially considering the high risk of undernutrition.

Tool Development

Prioritize the development and validation of SCI-specific nutritional screening tools adapted for Korean patients to improve the accuracy of nutritional assessments.

Study Limitations

  • 1
    Retrospective study design.
  • 2
    Potential influence of nutritional support on clinical outcomes.
  • 3
    The MUST and SNST tools may not be perfectly suited for Korean SCI patients.

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